Medicare Managed Care Manual (Pub. 100-16), Ch. 18c § 70
Allocation and Distribution of Other Administrative and General
70 - Allocation and Distribution of Other Administrative and General
Costs
(Rev. 30, 09-05-03)
Administrative and General (A&G) costs other than those described in §60 of this chapter
which bear a significant relationship to the services rendered are not apportioned to
Medicare directly. Instead, these costs are allocated or distributed to the components of
the HCPP which, in turn, are then apportioned to Medicare in accordance with the rules
contained in this chapter. The allocation or distribution process occurs in two steps:
1. The total allowable costs of a separate entity or department that performs
administrative services (e.g., centralized purchasing, accounting, data processing)
that can be quantitatively measured, should be allocated or distributed to each
component of the HCPP in reasonable proportion to the benefits received by that
component.
2. Those remaining service-related administrative costs that cannot otherwise be
distributed or allocated in reasonable proportion to the benefits received by the
components, must be allocated to the components on the basis of a ratio of total
incurred and distributed cost of the component to total incurred and distributed
cost to all components.